Marin County has comparatively high numbers of parents who refuse required childhood vaccinations. This fall, Marin County Public Health and the Office of Education conducted a survey of kindergarten parents to better understand the beliefs of those who refuse vaccinations. A new law requiring a discussion with a medical provider prior to obtaining a vaccine exemption goes into effect January 1, 2014. The results of this survey can stimulate community dialog and inform providers as they help families navigate choices.